| NPI | 1942988365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRA WESSELS Office Manager 817-616-0504 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2026-05-12 |